A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report
BackgroundPalmar-divergent dislocation of the lunate and scaphoid is a rare high-energy trauma with complex injured mechanism. Early diagnosis and surgery are necessary, however, there is no consensus on surgical treatment, as only a few literatures have been reported.Case summaryA 56-year-old man,...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1526008/full |
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| author | Zhiling Wang Junjie Qu Le Kang Jianqiang Cui Yanchao Wang Chengli Li Lin Xu |
| author_facet | Zhiling Wang Junjie Qu Le Kang Jianqiang Cui Yanchao Wang Chengli Li Lin Xu |
| author_sort | Zhiling Wang |
| collection | DOAJ |
| description | BackgroundPalmar-divergent dislocation of the lunate and scaphoid is a rare high-energy trauma with complex injured mechanism. Early diagnosis and surgery are necessary, however, there is no consensus on surgical treatment, as only a few literatures have been reported.Case summaryA 56-year-old man, following a powerful strike to the dorsal side of left wrist and forearm, complained about swelling, tenderness, and limited motion of the left wrist during the physical examination. According to physical and imaging results, this patient was diagnosed with trans-styloid palmar-divergent dislocation of the lunate and scaphoid, as well as radial diaphysis fracture. We performed open reduction, internal fixation with K-wires, ligament reconstruction, and cast immobilization for 6 weeks, followed by early rehabilitation.ConclusionWe firstly described a novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid based on the classical Mayfield's mechanism, and reviewed suggestions regarding the optimal treatment of palmar-divergent dislocation of the lunate and scaphoid. |
| format | Article |
| id | doaj-art-0fcc8bffba6d4de39d3ce1ffec1d8871 |
| institution | OA Journals |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-0fcc8bffba6d4de39d3ce1ffec1d88712025-08-20T01:51:53ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.15260081526008A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case reportZhiling WangJunjie QuLe KangJianqiang CuiYanchao WangChengli LiLin XuBackgroundPalmar-divergent dislocation of the lunate and scaphoid is a rare high-energy trauma with complex injured mechanism. Early diagnosis and surgery are necessary, however, there is no consensus on surgical treatment, as only a few literatures have been reported.Case summaryA 56-year-old man, following a powerful strike to the dorsal side of left wrist and forearm, complained about swelling, tenderness, and limited motion of the left wrist during the physical examination. According to physical and imaging results, this patient was diagnosed with trans-styloid palmar-divergent dislocation of the lunate and scaphoid, as well as radial diaphysis fracture. We performed open reduction, internal fixation with K-wires, ligament reconstruction, and cast immobilization for 6 weeks, followed by early rehabilitation.ConclusionWe firstly described a novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid based on the classical Mayfield's mechanism, and reviewed suggestions regarding the optimal treatment of palmar-divergent dislocation of the lunate and scaphoid.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1526008/fullscapholunate dissociationpalmar-divergent injuryscaphoid dislocationlunate dislocationORIF |
| spellingShingle | Zhiling Wang Junjie Qu Le Kang Jianqiang Cui Yanchao Wang Chengli Li Lin Xu A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report Frontiers in Surgery scapholunate dissociation palmar-divergent injury scaphoid dislocation lunate dislocation ORIF |
| title | A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report |
| title_full | A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report |
| title_fullStr | A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report |
| title_full_unstemmed | A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report |
| title_short | A novel injury mechanism of trans-styloid palmar-divergent dislocation of the lunate and scaphoid: a case report |
| title_sort | novel injury mechanism of trans styloid palmar divergent dislocation of the lunate and scaphoid a case report |
| topic | scapholunate dissociation palmar-divergent injury scaphoid dislocation lunate dislocation ORIF |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1526008/full |
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